Atlas of Genetics and Cytogenetics in Oncology and Haematology


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t(7;14)(p15;q11)

Clinics and Pathology

Disease T- Acute lymphoblastic leukemia (T-ALL)
Phenotype / cell stem origin T lineage TCR gamma delta +, CD4/8 double positive (DP), CD1a- immunophenotype
Epidemiology 1 case reported
Clinics FABL1 or L2. The index case had hepatosplenomegaly without mediastinal involvement.

Cytogenetics

Cytogenetics Molecular Balanced t(7;14)
  • Der(7):Intronic region of HOXA locus on 7p15 between HOXA6 and HOXA7 genes fused with Jd1 segment of TCRD on 14q11.
  • Der(14): DREC segment on chromosome 14q11 rearranged with Dd2 and Dd3 segments and fused to the telomeric part of HOXA locus on 7p15
  •  
      Fig1: FISH hybridization result using a TCRA/D distal (Green) and HOXA proximal (orange) FISH probes showing a fusion signal in 6 of 8 mitosis.
    Additional anomalies This case also expressed (by RQ-PCR) a CALM-AF10 fusion transcript (t(10;11)(p13;q14-21)).
    Variants variant translocation cases are reported: 9 cases of T-ALLs having the HOXA locus translocated to TCRB in a t(7;7). The breakpoints on 7p15 in those HOXA-TCRB cases are more centromeric, close to HOXA9

    Genes involved and Proteins

    Gene Name HOXA (intronic region)
    Location 7p15
    Note HOXA6 and HOXA7 lie at 6,9kb from each other on 7p15
    Protein various HOXA genes act as transcription factors playing important roles in the differentiation and commitment processes of embryonic and hematopoietic cells.
    Gene Name TCRD
    Location 14q11
    Note Breakpoint on der(7) lie 5' from Jd1. Breakpoint on der(14)lies 12 nucleotides 5' of the 3' end of the DREC segment.
    Protein Protein encoded by the TCRD locus are the T-cell receptor chains.

    Result of the chromosomal anomaly

    Hybrid gene
     
      Fig2: Sequence of events leading to the final translocation. Exons are represented by boxes. Triangles represent RSS and show their orientation. E=enhancer.
      
    Fusion Protein
     
      Fig3: The nucleotide sequence of both derivatives implicated in the t(7 ;14) translocation. Underscored are RSS or RSS-like sequence in the vincinity of the breakpoints. In lower case letters: non templated nucleotides at the junction.
    Description No fusion protein. Overexpression of HOXA genes as a result of the translocation with TCRD was expected, as it was demonstrated to be the case in HOXA-TCRB T-ALLs. However this case had a CALM-AF10 fusion in the same leukemic clone. CALM-AF10 is already known to be associated with HOXA cluster global overexpression. The HOXA pattern of expression in this case was similar to other CALM-AF10 T-ALL.
    Oncogenesis Probable, as several HOX/HOXA genes have been implicated in leukemic processes.
      

    External links

    Other databaset(7;14)(p15;q11) Mitelman database (CGAP - NCBI)
    Other databaset(7;14)(p15;q11) CancerChromosomes (NCBI)

    To be noted

    Additional cases are needed to delineate the epidemiology of this rare entity:
    you are welcome to submit a paper to our new Case Report section.

    Bibliography

    MLL translocations specify a distinct gene expression profile that distinguishes a unique leukemia.
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    Nature genetics. 2002 ; 30 (1) : 41-47.
    PMID 11731795
     
    V(D)J-mediated translocations in lymphoid neoplasms: a functional assessment of genomic instability by cryptic sites.
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    PMID 11781368
     
    MLL targets SET domain methyltransferase activity to Hox gene promoters.
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    PMID 12453418
     
    CALM-AF10 is a common fusion transcript in T-ALL and is specific to the TCRgammadelta lineage.
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    PMID 12676784
     
    Age-related phenotypic and oncogenic differences in T-cell acute lymphoblastic leukemias may reflect thymic atrophy.
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    PMID 15054041
     
    CALM-AF10+ T-ALL expression profiles are characterized by overexpression of HOXA and BMI1 oncogenes.
    Dik WA, Brahim W, Braun C, Asnafi V, Dastugue N, Bernard OA, van Dongen JJ, Langerak AW, Macintyre EA, Delabesse E
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    PMID 16107895
     
    HOXA genes are included in genetic and biologic networks defining human acute T-cell leukemia (T-ALL).
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    Blood. 2005 ; 106 (1) : 274-286.
    PMID 15774621
     
    A new recurrent inversion, inv(7)(p15q34), leads to transcriptional activation of HOXA10 and HOXA11 in a subset of T-cell acute lymphoblastic leukemias.
    Speleman F, Cauwelier B, Dastugue N, Cools J, Verhasselt B, Poppe B, Van Roy N, Vandesompele J, Graux C, Uyttebroeck A, Boogaerts M, De Moerloose B, Benoit Y, Selleslag D, Billiet J, Robert A, Huguet F, Vandenberghe P, De Paepe A, Marynen P, Hagemeijer A
    Leukemia : official journal of the Leukemia Society of America, Leukemia Research Fund, U.K. 2005 ; 19 (3) : 358-366.
    PMID 15674412
     
    HOXA cluster deregulation in T-ALL associated with both a TCRD-HOXA and a CALM-AF10 chromosomal translocation.
    Bergeron J, Clappier E, Cauwelier B, Dastugue N, Millien C, Delabesse E, Beldjord K, Speleman F, Soulier J, Macintyre E, Asnafi V
    Leukemia : official journal of the Leukemia Society of America, Leukemia Research Fund, U.K. 2006 ; 20 (6) : 1184-1187.
    PMID 16572206
     

    Contributor(s)

    Written06-2006Julie Bergeron, Elizabeth Macintyre , Vahid Asnafi
    Laboratoire d'Hématologie and INSERM EMI0210, Hôpital Necker-Enfants Malades, Université Paris-Descartes, AP-HP, Paris, France

    Citation

    This paper should be referenced as such :
    Bergeron J, Macintyre E, Asnafi V . t(7;14)(p15;q11). Atlas Genet Cytogenet Oncol Haematol. June 2006 .
    URL : http://AtlasGeneticsOncology.org/Anomalies/t0714p15q11ID1435.html

    © Atlas of Genetics and Cytogenetics in Oncology and Haematology
    indexed on : Mon May 12 18:12:34 2008


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